KENNETH M FRIED DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

KENNETH M

Last Name

FRIED

Suffix

DDS

Business Name

KENNETH M FRIED DDS

Original Issue Date

01/01/1998

Effective Date

10/27/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025